More than 2.

91 million patients have availed treatment worth ~PKR 63 Bn under the Sehat Sahulat Program since its inception in 2016

2,500,000 60,000

2,272,152

50,000
2,000,000

40,000

1,500,000

30,000

1,000,000 49,029

20,000
35,159

363,000
500,000
10,000

19,399 37,740 69,731 141,851

3,256
8,458 8,261
3,099 3,067
65 59 449 439 906 897 1,555 1,532
- -
2016 2017 2018 2019 2020 2021 2022

Tentative Claim Settled Claim Admissions

Current Empanelment Status

Public Sector Private Sector

Total Hospitals 823 206 617
Total Beds 80,695 42,715 37,980

Top 20 treatments for the year 2022

Total Private Sector Public Sector

Avg. cost per

Total Claims
Admissions

Admissions

Admissions

Admissions

Admissions
(% of total)
(% of total)
(PKR mil)

(PKR Mil)

(PKR Mil)
Claims
person

Claims
Treatment

Total
1 Dialysis 628,605 2,792,752,540 4,443 361,590 58% 1,749,605,265 267,015 42% 1,043,147,275
2 Cesarean delivery 274,926 6,546,137,416 23,811 247871 90% 5,927,240,470 27055 10% 618,896,946
3 Cataract with IOL Phacoemulsification - Unilateral 221,545 3,538,619,535 15,972 215442 97% 3,444,756,445 6103 3% 93,863,090
4 Chemotherapy - Per sitting 74,728 2,526,201,713 33,805 60,651 81% 2,054,124,066 14,077 19% 472,077,647
5 Normal Delivery 68,729 1,385,338,344 20,157 56565 82% 1,136,183,680 12164 18% 249,154,664
6 Coronary Angiography 64,555 1,297,427,631 20,098 34814 54% 702,293,000 29741 46% 595,134,631
7 Hernioplasty (mesh repair) 42,165 1,136,549,013 26,955 38,079 90% 1,031,209,468 4,086 10% 105,339,545
8 Hysterectomy – abdominal 36,945 1,059,957,090 28,690 35502 96% 1,019,028,990 1443 4% 40,928,100
9 Appendicectomy 31,851 689,241,535 21,640 29102 91% 637,615,885 2749 9% 51,625,650
10 Laparoscopic Cholecystectomy 26,803 949,339,385 35,419 24,858 93% 884,155,550 1,945 7% 65,183,835
11 Angioplasty - single Stent (Drug Eluted) 21,221 3,580,965,892 168,746 12174 57% 2,067,367,000 9047 43% 1,513,598,892
12 Cholecystectomy (Open) 19,841 585,845,258 29,527 18,075 91% 536,660,453 1,766 9% 49,184,805
13 Oncology – Medical 16,530 439,756,415 26,604 14887 90% 416,175,638 1643 10% 23,580,777
14 Tonsillectomy 14,065 306,172,475 21,768 13153 94% 289,573,590 912 6% 16,598,885
15 Pneumonia / LRTI 12,602 134,102,672 10,641 6,765 54% 80,727,460 5,837 46% 53,375,212
16 Hernia – Repair 12,193 286,900,170 23,530 11319 93% 267,939,120 874 7% 18,961,050
17 Acute Gastroenteritis 12,127 80,363,670 6,627 7411 61% 52,482,850 4716 39% 27,880,820
18 Angioplasty - two Stents (Drug Eluted) 11,291 2,791,547,664 247,237 7,894 70% 1,962,765,500 3,397 30% 828,782,164
 Total Private Sector Public Sector

Avg. cost per

Total Claims
Admissions

Admissions

Admissions

Admissions

Admissions
(% of total)
(% of total)
(PKR mil)

(PKR Mil)

(PKR Mil)
Claims
person

Claims
Treatment

Total
19 Ischemic Heart Disease 11,196 78,823,931 7,040 3179 28% 29,930,500 8017 72% 48,893,431
20 Hemorrhoidectomy 10,648 222,992,070 20,942 10000 94% 209,758,610 648 6% 13,233,460
  (total for top 20 treatments) 1,612,566 30,429,034,419 18,870 1,209,331 75% 24,499,593,540 403,235 25% 5,929,440,879

FUNDS REQUIREMENT (REVISED PC-1)

Sr.
Particular FY 2021-22 FY 2022-23 FY 2023-24 FY 2024-25 Total %age
No.
A Programme Cost 67,525 130,517 132,087 68,048 398,177 99.64%
B Non-Programme Cost (Operating Cost) 228 343 376 411 1,358 0.34%
C Capital / Asset Cost 65 9 2 0.1 76 0.02%
Total: 67,869 130,869 132,465 68,460 399,612 100%

FINANCIAL UTILIZATION – INSURANCE PREMIUM

 (Rs. In Million)
Sr. No. Financial Year Phase I Phase II Phase III Total Premium Paid
1 FY 15-16 - - - -
2 FY 16-17 499 - - 499
3 FY 17-18 1,193 - - 1,193
4 FY 18-19 1,918 2,350 - 4,628
5 FY 19-20 238 2,977 - 3,215
6 FY 20-21 645 22,705 - 23,349
7 FY 21-22 - 6,051 53,139 59,189
8 FY 22-23 - - - -
Total 4,493 34,082 53,139 91,714

UNSPENT PREMIUM – FOR ALL PHASES

Phase Premium Paid Tentative Claims Admin Cost Total Spending Unspent Premium Due Date
  A B C D=B+C E=A-D  
Phase-III 53,139 37,127 7,229 44,356 8,783* February 2024 (For Year 1)
Phase-II 34,082 23,262 5,831 29,093 4,989 May-24
Phase-I 4,493 2,732 917 3,649 844 May 2021**
Total 91,714 63,121 13,977 77,098 14,616  

* Claims generated are approximately more than 6 billion per month. SLIC will need payment from GoPb for claim payment to hospitals.
** SLIC has initiated the process of hiring firm for third party audit of claims.

HOSPITAL CLAIMS AND RECEIPTS DEPOSITED INTO GOVERNMENT TREASURY (FOR YEAR 2022)
 Claims Expected
Claims Claims Funds
Received by Claim Return of
Incurred Pending at Pending Deposited
Sr. Hospital Department SLIC for Paid by Government
Claims Hospital at SLIC in to Govt.
Reimbursemen SLIC (% of Paid
End End Treasury
t Claims)

1 Cardiac Hospitals SHC&MED 4,729 3,503 1,226 781 2,722 981 476
2 SHC&MED Other Tertiary Care (38+6=44) 3,084 1,536 1,548 251 1,286 720 298
3 DHQ PSHD 1,048 539 509 51 488 273 20
4 THQs -150 944 542 401 86 456 255 23
Grand Total (194) 9,805 6,121 3,684 1,169 4,952 2,230 817

GOVERNMENT SHARE DEPOSITED BY PUBLIC HOSPITALS

Sr.
Hospitals District Amount
No.
1 Punjab Institute Of Cardiology Lahore 286,247,197
2 Rawalpindi Institute Of Cardiology Rawalpindi 91,649,149
3 Jinnah Hospital Lahore Lahore 36,482,856
4 Faisalabad Institute Of Cardiology Faisalabad 35,685,156
5 Mayo Hospital Lahore 34,938,160
6 Ch Pervaiz Elahi Institute Of Cardiology Multan 32,475,351
7 Cardiac Centre Bahawalpur Bahawalpur 30,262,244
8 DHQ Hospital Gujranwala Gujranwala 30,000,000
9 District Head Quarter Hospital Rawalpindi Rawalpindi 26,121,343
10 Holy Family Hospital Rawalpindi Rawalpindi 21,677,040
11 Aziz Bhatti Shaheed Teaching Dhq Hospital Bhimber Road, Gujrat Gujrat 21,299,785
12 District Head Quarter Muzaffargarh Muzaffargarh 20,000,000
13 Lahore General Hospital (Pins) Lahore 18,677,261
14 Bahawalpur Victoria Hospital Bahawalpur 15,620,004
15 The Childrens Hospital Institute Of Child Health Lahore 13,817,106
16 Sir Ganga Ram Hospital Lahore 12,979,176
17 Punjab Institute Of Neurosciences Lahore Lahore 10,111,316
18 Govt Teaching Hospital Shahdara Lahore 8,667,261
19 Govt. Mian Munshi Dhq Teaching Hospital Lahore 8,617,331
20 Lady Aitchison Hospital Lahore 8,581,635
Sr.
Hospitals District Amount
No.
21 Benazir Bhutto Hospital Rawalpindi Rawalpindi 8,382,080
22 Allied Hospital Faisalabad Faisalabad 7,551,472
23 Lady Willingdon Hospital Lahore 6,621,608
24 Tehsil Headquarter Hospital, Chak Jhumra, Faisalabad Faisalabad 5,460,556
25 Sahiwal Teaching Hospital Sahiwal 4,728,853
26 Tehsil Headquarter Hospital Tandlianwala Faisalabad 3,670,337
27 THQ Hospital, Pindi Bhattian Hafizabad 2,202,342
28 THQ Hospital, Kharian Gujrat 1,858,068
29 THQ Kehroor Pacca Lodhran 1,591,152
30 THQ Thal Mian Nawaz Sharif Hospital Layyah 1,580,621
31 Childrens Hospital The Institute Of Child Health Multan 1,534,593
32 Govt. Mozang Hospital Lahore 1,523,076
33 Tehsil Headquarter Hospital, Esa Khel, Mianwali Mianwali 1,487,692
34 Civil Hospital Dinga Gujrat Gujrat 1,416,800
35 Tehsil Headquarter Hospital, Burewala Vehari 1,233,525
36 THQ Level Hospital, Lalamusa Camping Ground, Lalamusa Gujrat 1,199,334
37 Tehsil Headquarter Hospital, Sillanwali, Sargodha Sargodha 1,161,916
38 THQ, Government City Hospital, Jhang City, Jhang Jhang 160,705
  Grand Total   817,274,101